Client Education / Health Literacy Flashcards
who is the primary educator in the healthcare setting
nurses
learning domains (3)
1) cognitive: knowledge, rational thought
- intellectual, thinking
2) affective; more difficult to teach/measure
- change peoples emotional mindset
- emotions, feelings, values
3) psychomotor; activities to perform new skills
- muscular movements ex/ using crutches
learning occurs in what domain
not just one, usually all 3
being educating a client (2)
1) assess ability / readiness to learn
2) check their current knowledge base
3 qualities of a teaching-learning relationship
1) client/patient centered care
- equal collaborative effort b/w client & nurse
2) holistic
3) interactive
- should be discussion, give or take
- dynamic & engaging
purpose of client education (4)
1) wellness
2) disease prevention
3) restoration of health of function
4) promotion of coping
- how you handle something
assessment for/of learning
- physical condition
- cognitive level (literacy)
- cultural and language needs
- support resources
- baseline knowledge (health literacy)
- learning needs
- priorities; motivation (depends on pain)
- realistic expectations (client/fam & nurse joint goals)
- readiness
- evaluation
primary prevention
secondary prevention
tertiary prevention
primary: wellness, exercise
secondary: early diagnosis, early treatment
tertiary: trying to manage signs & symptoms
teaching-learning models first 3
1) lectures; someone talking @ someone else
- best for cognitive domain
2) discussion (effective domain)
- small group, individual
3) demonstration
teaching-learning models last 3
4) role playing
5) handouts (cognitive domain)
6) electronic resources
- internet, video/dvd
implementation of client teaching
1) communication
- active listening
- collaboration
- feedback*
- repetition
2) client comfort levels
3) prioritizing
4) timing; teachable moments
5) environmental factors
- lighting, temperature, sound, odors
teaching methods for each domain (3)
1) cognitive
- discussion, handouts, readings, audiovisual material
2) affective
- role playing, value clarification
3) psychomotor
- physical manipulation, demonstration
values clarification
helping them determine whats best for their situation
ex/ abortion
evaluation of learning (5)
1) written exams
2) oral evaluation
3) return demonstrations; psychomotor & cognitive
4) check-off lists / rubrics
- know exactly whats expected of you
5) simulation (all 3 types)
documentation
- subject matter
- method used for instruction
- client response
- specific concerns/adaptations due to client condition
- PIE not appropriate note*
- document education every 3 days*
